Christus Trinity Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHRISTUS TRINITY CLINIC

Practice address

7045 Youree Dr
Shreveport, LA 71105-5108

Phone

(318) 798-3763

NPI assigned

Aug 5, 2022

Organization subpart

No

Name

Robert Karl, CPA, MPA

Title

VP, Cfo

Phone

(469) 282-2611

• Youree Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2022.

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1700513017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055108",
            "telephone_number": "318-798-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS TRINITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "469-282-2611",
        "authorized_official_credential": "CPA, MPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctcpe@christushealth.org",
            "affiliation": "N",
            "address_1": "7045 Youree Dr",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711055108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Youree",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Craig Chu, M.D.
• Chinaemerem Jeffrey Chukwudoro, DO

• All providers in Shreveport, LA
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.